Department of Veterinary Clinical Sciences, Faculty of Health and Medical Sciences, University of Copenhagen, Agrovej 8, 2630, Taastrup, Denmark.
Acta Vet Scand. 2022 May 7;64(1):11. doi: 10.1186/s13028-022-00631-4.
Up-to-date and hospital-specific knowledge of prognoses for horses with various forms of colic is essential for helping to guide owners' decisions on costly treatments, and for assessing the continuous development of standards of care in the hospital. This study aimed to determine the short-term survival rates of horses admitted with colic to the University Hospital for Large Animals (UHLA), University of Copenhagen, Denmark, from 2010 to 2018, and to compare these to a previous local study as well as recent, comparable international studies. Short-term survival rates were calculated for horses grouped by treatment (surgical, medical) and diseases. Results were compared to the selected studies using Chi-square tests.
A total of 1752 horses were admitted with colic during the period, of which 355 were excluded for reasons such as economic restrictions or immediate euthanasia. Short-term survival of the remaining 1397 cases was significantly higher (83.0% (95% CI 81.1-85.0%)) than a previous local study (76%) and a recent Dutch study (80%). Medical treatment was carried out in 77.1% of cases, and surgery in 22.9% of the cases. Short-term survival for medically (89.7%) and surgically (60.6%) treated horses was significantly higher in the present study compared to the previous study (87% and 42%, respectively), but was similar to that found in the Dutch study. Significantly fewer horses were euthanised during surgery than in the previous study (17.2 vs. 40%), and significantly more horses recovered from surgery (79.1 vs. 56%). Short-term survival rate of surgically treated horses (60.6%) did not differ from other European studies (55-62%).
Short-term survival rates have increased since the previous study at UHLA, mainly due to a decrease in intraoperative euthanasia. Survival rates in this study are similar to those found in recent comparable colic studies.
了解各种类型疝痛马的最新且针对医院的预后知识对于帮助指导主人做出昂贵治疗决策以及评估医院护理标准的持续发展至关重要。本研究旨在确定 2010 年至 2018 年期间，丹麦哥本哈根大学兽医学院（UHLA）收治的疝痛马的短期生存率，并将其与之前的本地研究以及最近的国际可比研究进行比较。根据治疗方法（手术、药物）和疾病对马进行分组，并计算短期生存率。使用卡方检验将结果与选定的研究进行比较。
在研究期间，共有 1752 匹马因疝痛入院，其中 355 匹马因经济限制或立即安乐死等原因被排除在外。其余 1397 例马的短期生存率（83.0%（95%CI 81.1-85.0%））明显高于之前的本地研究（76%）和最近的荷兰研究（80%）。77.1%的病例接受了药物治疗，22.9%的病例接受了手术治疗。与之前的研究相比，本研究中接受药物治疗（89.7%）和手术治疗（60.6%）的马的短期生存率显著更高（分别为 87%和 42%），但与荷兰研究相似。手术中安乐死的马明显少于之前的研究（17.2%比 40%），而从手术中恢复的马明显更多（79.1%比 56%）。接受手术治疗的马的短期生存率（60.6%）与其他欧洲研究（55-62%）无差异。
自 UHLA 进行上一次研究以来，短期生存率有所提高，主要是由于术中安乐死的减少。本研究中的生存率与最近的类似疝痛研究相似。
